调肝治疗对改善强直性脊柱炎脊柱核心肌群运动能力的影响  

Effects of liver-adjusting therapy on improving the ability of spinal core muscles in ankylosing spondylitis

作　　者：吴晓惠[1] 李敏[1] 王贵梅 周江[3] 梁翼[1] 孙杰培 WU Xiao-hui;LI Min;WANG Gui-mei;ZHOU Jiang;LIANG Yi;SUN Jie-pei(Sichuan Provincial Orthopaedic Hospital,Chengdu 610041,China;Key Laboratory of Traditional Chinese Medicine for Prevention and Treatment of Sports Trauma,General Administration of Sport of China,Chengdu 610041,China;Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Department of Sports Medicine,Chengdu Sport University,Chengdu 610041,China)

机构地区：[1]四川省骨科医院,成都610041 [2]国家体育总局中医药防治运动创伤重点实验室,成都610041 [3]成都中医药大学附属医院,成都610075 [4]成都体育学院运动医学系,成都610041

出　　处：《中华中医药杂志》2021年第6期3754-3757,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：四川省中医药管理局资助项目(No.2018LC025);成都中医药大学校基金(No.YYZX1708)。

摘　　要：目的:探讨调肝治疗对改善强直性脊柱炎(AS)脊柱核心肌群运动能力的影响。方法:收集AS患者62例,随机分为两组,中医组32例采用调肝治疗配合生物制剂治疗,对照组30例采用生物制剂治疗,共治疗20周,分别收集其临床资料、AS疾病活动度(ASDAS-CRP),并采用DAVID脊柱生物力学测训系统检测其脊柱力学功能,以及进行简易核心肌耐力测试,采用T检验比较治疗前后差异。结果:两组AS患者较本组治疗前在ASDASCRP、脊柱核活动度及腹、背部肌耐力方面都显著改善(P<0.05),中医组治疗后脊柱活动度及腹、背部肌耐力较对照组显著改善(P<0.05)。结论:调肝治疗可有效且安全的改善AS患者脊柱核心肌群的活动度,提升脊柱核心肌群柔韧性和肌耐力。Objective:To investigate the effects of liver-adjusting therapy on improving the exercise capacity of the core muscles of the ankylosing spondylitis(AS).Methods:A total of 62 AS patients who completed the treatment and the treatto-target were enrolled.The 32 patients in the Chinese medicine group were randomly treated with liver-adjusting therapy and biological agents,the other 30 patients in the control group were treated with biological agents.The clinical data,ASDAS-CRP were collected,and used the DAVID spinal biomechanical training system to test its spinal mechanical function,and simple core muscle endurance test,compared using pairing T-test analysis.Results:The two groups of AS patients after reaching the target,there were differences in ASDAS-CRP,spinal nucleus activity and in muscle endurance than before the treatment(P<0.05).The spinal mobility,abdominal and dorsal core muscular endurance in AS patients of Chinese medicine group were better than the control group(P<0.05).Conclusion:Liver-adjusting therapy can effectively and safely improve the activity of the abdominal and dorsal core muscles of the spine in patients with AS,and improve the flexibility and muscular endurance of the core muscles of the spine.

关 键 词：强直性脊柱炎 调肝治疗 达标治疗 脊柱机能 核心肌力 肌耐力 

分 类 号：R593.23[医药卫生—内科学]